NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

CARESOURCE
750 KEARNS BLVD. #200
PARK CITY, UT84060
 Phone: 801-266-7200
 Fax: 801-266-7004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CARESOURCE

NPI Number 1902861693
LBN Legal business name CARESOURCE
Authorized official SHAWNTEL TANNER - (CEO/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2006
Last updated 11/14/2016 - About 10 years ago
Identifiers
UT License # 2006-HHA-912
UT Other HT005376-001 TRADING PARTNER NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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